Response

Michael J Griffiths^{1

2}, Fiona McGill^{3

2}, Tom Solomon^{4

2}

Affiliations

¹ Alder Hey Children's NHS Foundation Trust, Liverpool, UK.
² Institute of Infection and Global Health, University of Liverpool, UK.
³ SpR in microbiology and infectious diseases, Royal Liverpool and Broadgreen University Hospitals NHS Trust, Liverpool, UK.
⁴ The Walton Centre NHS Foundation Trust, Liverpool, UK.

Comment

Michael J Griffiths et al. Clin Med (Lond). 2018 Aug.

. 2018 Aug;18(4):352.

doi: 10.7861/clinmedicine.18-4-352.

Michael J Griffiths^{1

2}, Fiona McGill^{3

2}, Tom Solomon^{4

2}

¹ Alder Hey Children's NHS Foundation Trust, Liverpool, UK.
² Institute of Infection and Global Health, University of Liverpool, UK.
³ SpR in microbiology and infectious diseases, Royal Liverpool and Broadgreen University Hospitals NHS Trust, Liverpool, UK.
⁴ The Walton Centre NHS Foundation Trust, Liverpool, UK.

No abstract available

Comment on

Management of acute meningitis.
Griffiths MJ, McGill F, Solomon T. Griffiths MJ, et al. Clin Med (Lond). 2018 Mar;18(2):164-169. doi: 10.7861/clinmedicine.18-2-164. Clin Med (Lond). 2018. PMID: 29626023 Free PMC article.
Importance of CSF lactate concentration in the diagnosis of acute bacterial meningitis.
McCarron EP, Sreenivasan S. McCarron EP, et al. Clin Med (Lond). 2018 Aug;18(4):351. doi: 10.7861/clinmedicine.18-4-351c. Clin Med (Lond). 2018. PMID: 30072569 Free PMC article. No abstract available.

1. Spanos A. Jr Harrell FE. Durack DT. Differential diagnosis of acute meningitis. An analysis of the predictive value of initial observations. JAMA. 1989;262:2700–7. - PubMed
1. Nigrovic LE. Kuppermann N. Macias CG, et al. Clinical prediction rule for identifying children with cerebrospinal fluid pleocytosis at very low risk of bacterial meningitis. JAMA. 2007;297:52–60. - PubMed
1. Sakushima K. Hayashino Y. Kawaguchi T. Jackson JL. Fukuhara S. Diagnostic accuracy of cerebrospinal fluid lactate for differentiating bacterial meningitis from aseptic meningitis: a meta-analysis. J Infect. 2011;62:255–62. - PubMed
1. Djukic M. Trimmel R. Nagel I, et al. Cerebrospinal fluid abnormalities in meningeosis neoplastica: a retrospective 12-year analysis. Fluids Barriers CNS. 2017;14:7–8. - PMC - PubMed
1. Rutledge J. Benjamin D. Hood L. Smith A. Is the CSF lactate measurement useful in the management of children with suspected bacterial meningitis? J Pediatr. 1981;98:20–4. - PubMed